在密西西比州的黑人MSM中,艾滋病毒风险感知和PrEP吸收在密西西比州黑人MSM中
Fei Teng1, Paul Burns1, Michael Welsch1
1Department of Population Health Science, John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, USA.
International journal of STD & AIDS
|November 5, 2024
概括
艾滋病毒的感知风险更高与密西西比州与男性发生性关系 (MSM) 的黑人男性中PrEP吸收率较低有关. 这一发现凸显了这种人群中感知风险和PrEP采用之间的复杂关系.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会和行为科学 社会和行为科学
背景情况:
- 在美国,与男性发生性关系的黑人男性 (MSM) 中,艾滋病毒的患病率不成比例.
- 认为艾滋病毒感染风险低可能会增加脆弱性,特别是在美国南部艾滋病毒发病率最高的地区.
- 很少有研究检查了在美国南部黑人MSM中感知到的HIV风险和PrEP采用之间的关系.
研究的目的:
- 检查在密西西比州黑人MSM中感知艾滋病毒风险和PrEP采用之间的关联.
- 了解影响PrEP在高患病率地区吸收的因素.
主要方法:
- 来自"加速"的数据! 黑人MSM的干预子样本.
- 评估了PrEP摄入量 (二进制) 和感知到的艾滋病毒风险 (低与高).
- 精确的后勤回归调整为年龄,社会环境因素和性行为.
主要成果:
- 84名HIV阴性黑人MSM (平均年龄30岁) 参加;86.9%的人报告使用PrEP.
- 70%的人报告认为艾滋病毒风险低;28.6%的人报告认为风险高.
- 在调整后,感知到的更高的艾滋病毒风险与PrEP摄入率的降低有关 (OR = 0.20,p = 0.040).
结论:
- 在密西西比州的黑人MSM中,艾滋病毒风险感知和PrEP采用之间的关系是复杂的.
- 矛盾的是,更高的感知风险与较低的PrEP摄入量有关,这表明社会和结构因素的关键作用.
- 需要进一步的纵向研究来阐明感知风险和prep使用之间的相互作用.
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